Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the current age limits for routine breast cancer screening; and whether he plans to review these limits to improve early detection for patients outside of the standard screening range.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is guided by the UK National Screening Committee (UK NSC), an independent scientific advisory committee which makes its recommendations based on internationally recognised criteria and a rigorous evidence review and consultation process. It is only where the committee is confident that screening would provide more good than harm that a screening programme is recommended, as all medical interventions carry an inherent risk.
The NHS Breast Screening Programme (NHS BSP) offers all women in England between the ages of 50 to 71 years old the opportunity to be screened every three years for breast cancer, to help detect abnormalities and intervene early to reduce the number of lives lost to invasive breast cancer.
The AgeX research trial has been looking at the effectiveness of offering some women one extra screen between the ages of 47 to 49 years old, and one between the ages of 71 to 73 years old. The biggest trial of its kind ever to be undertaken, AgeX will provide robust evidence about the effectiveness of screening in these age groups, including the benefit and harms. The UK NSC will review the publication of the age extension trial when it reports.
Women with a very high risk of breast cancer, for example due to family history, may be offered screening earlier and more frequently, sometimes using magnetic resonance imaging rather than a mammogram.
While the NHS BSP does not automatically invite women for breast screening after their 71st birthday, women aged 71 years old or over can still have breast screening every three years if they want to, by calling their local breast screening service to ask for an appointment.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that local cancer treatment facilities, such as mobile chemotherapy units and hospital breast cancer clinics, have sufficient resources to meet demand and reduce waiting times for patients.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As set out in the plan for reforming elective care, the Government is committed to improving performance on cancer waiting times.
To improve access to cancer treatment, the Government is investing an extra £26 billion in the National Health Service and providing it with the resources it needs, including community diagnostic centres, to ensure patients are diagnosed faster and earlier so that they receive timely access to treatment. £70 million will also be spent on replacing out-of-date radiotherapy equipment so that cancer patients benefit from faster and safer cancer treatment using the most up-to-date technology. Replacing these older machines will save as many as 13,000 appointments from being lost to equipment breakdown.
NHS England has partnered with the charity Hope For Tomorrow to establish mobile chemotherapy units across England, bringing chemotherapy and cancer treatments closer to patients' homes, reducing waiting time for hospital appointments, with units staffed by specialist nurses offering personalised care.
The NHS has made important progress on the treatment of cancer, including breast cancer, delivering an extra 40,000 operations, scans, and appointments each week to ensure faster treatment for those who need it most.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, what steps she is taking to encourage businesses and individuals to buy local farming produce.
Answered by Angela Eagle - Minister of State (Department for Environment, Food and Rural Affairs)
The Government recognises the key role that regional and local food systems can play in supporting delivery of the growth, health, sustainability, and food security/ resilience outcomes. Defra wants to create an environment that champions UK food cultures and celebrates British food. Connecting local communities can be a key vehicle for achieving this outcome and for harnessing a stronger food culture. The strategy helps strengthen pride in our unique food heritage and cultures and inspire a good food movement around the country.
Alongside, Defra is considering the policy options available to deliver on the Government's ambition for at least half of all food procured by the public sector to be, where possible, locally produced or certified to higher environmental standards, and to make it easier for British suppliers to bid for a share of the £5 billion spent annually on public sector catering contracts. To that end, the Government is conducting the first ever review of food currently bought in the public sector, including where it is bought from.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department for Business and Trade:
To ask the Secretary of State for Business and Trade, what steps his Department is taking to review the cumulative effect of operating costs, including energy, staffing, compliance, and taxation, on the viability of hospitality businesses; and what consultations he is having with industry representatives on those matters.
Answered by Kate Dearden - Parliamentary Under Secretary of State (Department for Business and Trade)
My department works closely with hospitality businesses to assess impact of rising operating costs across energy, staffing, compliance and taxation.
This includes regular engagement with the sector, including through the Hospitality Sector Council which provides a formal forum to co-create solutions to pressures facing the industry.
We also maintain regular engagement with trade bodies such as UKHospitality and the British Beer and Pub Association, as well as colleagues across government, to ensure that policy decisions are informed by the latest evidence and genuinely support the sector’s long-term stability.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what mechanisms are in place for NHS mental health trusts to be held accountable when written recommendations for improving carer involvement and crisis support following formal apologies are not implemented within agreed timescales.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Anyone receiving treatment for their mental health deserves safe, high-quality care, and to be treated with dignity and respect.
Families, staff, and the public deserve answers when things go wrong in mental health settings and it is vitally important that, where care falls short, we learn from any mistakes made to improve care across the National Health Service and protect patients in the future.
All NHS providers are held to account under the NHS Oversight Framework 2025/26 when they fail to implement written recommendations, for instance on carer involvement or crisis support, in agreed timescales. This includes a capability assessment, where trusts are evaluated for leadership, governance, and ability to implement change, with failures heightening oversight. As part of the Provider Improvement Programme, low performing trusts enter a structured programme, gaining intensive, formal improvement interventions.
NHS England can formally step in using its enforcement guidance if performance or governance is below acceptable standards. NHS England regional teams convene regular meetings with trusts and integrated care boards to review progress on agreed recommendations and implementation plans.
It is the role of the Parliamentary and Health Service Ombudsman to carry out independent investigations into complaints about treatment or service provided through the NHS where organisation level complaints processes have already been followed.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential merits of ensuring that NHS mental health trusts do not discharge patients with high PHQ-9 and GAD-7 scores without robust safety planning and follow-up support; and what guidance his Department has issued to help prevent such cases.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
In 2024, statutory guidance was issued on discharge from all mental health, and learning disability and autism inpatient settings, under the NHS Act 2006. The guidance also sets out that prior to discharge, robust planning and safety management should be developed for all patients, in collaboration with the person and their chosen carer or carers with input from relevant members of the multi-disciplinary team.
For individuals detained under the Mental Health Act, in the Mental Health Act 2025, passed this year, we have strengthened discharge decision making by requiring consultation with another professional before discharge, as well as introducing requirements around care and treatment planning. We will provide further guidance on this in the revised Code of Practice.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Home Office:
To ask the Secretary of State for the Home Department, whether she has made an assessment of the potential merits of placing a ban on a) machetes and b) large hunting knives.
Answered by Mike Tapp - Parliamentary Under-Secretary (Home Office)
Knife crime has a devasting impact on families and communities across the country, and the Government is aiming to halve knife crime in the next decade. We keep the law in this area under constant review, and this includes the continuing availability of machetes and large hunting knives.
The Government has already taken action to ban zombie style knives and zombie style machetes in September 2024, and more recently, we took action to ban ninja swords in August 2025. We are continuing to take measures to strengthen the law on knives.
In the Crime and Policing Bill 2025, currently going through Parliament, we are increasing the penalties for illegal sales of knives, creating a new offence of possessing a knife with the intention to commit unlawful violence, a duty on sellers to report bulk or suspicious sales, strengthened age checks on online sales and delivery, and we are giving the police a new power to seize knives likely to be used in unlawful violence. On 16 December, the Government also published a public consultation paper on proposals to introduce licensing schemes for those who sell or import knives or other bladed articles and this builds on the earlier recommendations in the Independent End to End Review of Online Knife Sales published in February 2025.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Home Office:
To ask the Secretary of State for the Home Department, whether she has made an assessment of the potential merits of phasing out the general sale of sharp-tipped culinary knives.
Answered by Mike Tapp - Parliamentary Under-Secretary (Home Office)
We recognise that the issue of knife crime and the harm caused by any knife has a very real impact on individuals, families and communities and we aim to halve knife crime in the next decade. The Government keeps the law in this area under constant review, but we do not have any plans to phase out the sale of sharp-tipped culinary knives.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what steps she is taking to reduce knife crime.
Answered by Mike Tapp - Parliamentary Under-Secretary (Home Office)
Tackling knife crime is a priority for Government. Since this Government has been in office, knife homicides have fallen by almost 20% while knife crime overall has fallen for the first time in 4 years, dropping by 5% in our first year from 54,215 to 51,527. Stabbings have fallen by 10% (as measured by hospital admissions for assault with a sharp object – NHS data).
60,000 knives have also been removed from the streets of England and Wales under this Government, through weapons surrender schemes, knives seized by Border Force and those recovered through County Lines Programme operations.
Our approach to tackling knife-crime is centred around smart, targeted interventions and enforcement, and a tough legislative landscape to remove dangerous weapons from our streets. Whilst also working across government to tackle the root causes of knife-crime, including through Violence Reduction Units and the new Young Futures Programme supporting those most at risk.
We have introduced tougher knife control measures by banning zombie-style knives and machetes in September 2024 and ninja swords in August 2025. Ronan's Law tightens online knife sales with stricter age checks and penalties and we are introducing new powers to strengthen policing’s ability to seize, retain and destroy dangerous knives.
These efforts are supported by smarter policing – including data led hotspot patrols, knife arches, facial recognition – and strong partnerships with charities and communities.
We are also introducing new, innovative tools to fight knife crime, identifying crime hotspots by breaking towns and cities into small hexagonal zones where hyper-local issues can be spotted. It will allow the police to partner with local communities, advocacy groups, local authorities and youth outreach teams to spot a problem and take action together to stop it.
Asked by: Julian Smith (Conservative - Skipton and Ripon)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what recent discussions she has had with her counterparts in the police on reducing knife crime.
Answered by Mike Tapp - Parliamentary Under-Secretary (Home Office)
Home Office Ministers meet regularly with Chief Constables and other senior policing leaders to discuss knife crime. For example, the Home Secretary discussed knife crime at the National Policing Board in July 2025 and the Policing Minister chaired the Knife-Enabled Robbery Group in November 2025.